Get Wv Dhhr - Omcfh - Rfts - R003 - Client Record Request Wv Dhhr - Omcfh - Rfts - R003 - Client Record

This guide will assist you in completing the WV DHHR - OMCFH - RFTS - R003 - Client Record Request form online. Follow the detailed instructions to ensure all necessary information is accurately submitted.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the Client Record Request form and open it in the online editor.
2. Begin filling in your personal details by entering your full name in the designated field labeled 'Client’s Name'. This is critical for identifying your records.
3. Select one of the options you are requesting by checking the appropriate box. You can choose to review your case record, obtain a copy of your case record, or request that a copy be sent to another individual or agency.
4. If you are requesting that a copy of your case record be released to another person or agency, clearly specify their name and any necessary details in the provided space.
5. Complete the 'Signature of Client' field by signing your name electronically or indicating your agreement to the request.
6. Fill in the date next to your signature to represent when the request is being made.
7. If applicable, include the name and title of the witness signing the document alongside the date.
8. Review all filled fields for accuracy before finalizing your form. Ensure all necessary parts of the document are filled out completely.
9. Once all the information is verified, you can save your changes, download the completed form, print it, or share it as needed.

Make sure to complete your document online for a smooth and efficient request process.